혈액투석 환자에서 리질리언스가 우울 및 삶의 만족도에 미치는 영향

• 영문명: The Effect of Resilience on Depression and Life Satisfaction in Patients with Hemodialysis
• 발행기관: 대한신경정신의학회
• 저자명: 이가영 왕성민 김유라 이해국 이경욱 이정태 권용실
• 간행물 정보: 『신경정신의학』제51권 제6호, 439~444쪽, 전체 6쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2012.11.30

영문 초록

ObjectivesZZThe aim of this study was to investigate the effect of resilience on depression and life satisfaction in patients with end-stage renal disease (ESRD) on Hemodialysis. MethodsZZFifty ESRD patients, aged 18 or older, on hemodialysis visiting the hemodialysis room at Catholic University of Korea, Uijeongbu St. Mary’s Hospital were included in this study. All patients were divided into two groups based on a Mini International Neuropsychiatric Interview : ESRD patients with major depressive disorder (MDD), and ESRD patients without MDD. The 17- item Hamilton Depression Rating Scale (HAM-D) and the Montgomery-Asberg Depression Rating Scale were used for assessment of the severity of depression symptoms. The Conner-Davidson Resilience Scale (CD-RISC) and Index of Well-being were used for measurement of resilience and life satisfaction, respectively. ResultsZZSixteen (32%) patients were included in the MDD group, and 34 (68%) patients were included in the non-MDD group. The MDD group had significantly lower CD-RISC (p<0.005) and Index of well-being scores (p<0.005). The CD-RISC score showed a significant negative correlation with HAM-D-17 (r=−0.36, p<0.05) score and a positive correlation with Index of well-being score (r=0.37, p<0.01). Multiple regression analysis showed a significant relation of CD-RISC score with HAM-D-17 (β=−0.36, p<0.05) and well-being score (β=−0.56, p<0.005). ConclusionZZResults of this study suggest that ESRD patients with higher resilience might be less depressed and have higher life satisfaction. Therefore, identification of clinical approaches that could increase resilience of ESRD patients might be important to prevention of depression and enhancement of life quality in ESRD patients on hemodialysis.

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키워드

Resilience Depression Life satisfaction Hemodilalysis